Individual provider · Type 1 NPI

Tea Koberidze

Specialist · Brooklyn, NY

NPI number 1427968544 Active

Practice location

3176 Coney Island Ave Apt 2
Brooklyn, NY 11235-6411

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XCERTIFIED (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1427968544

Tea Koberidze's National Provider Identifier is 1427968544, issued on Sep 10, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 10, 2026.